NPI | 1255095782 |
---|---|
Former Name | KAREN E GRANATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070008013) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05015004A) |
Enumeration Date | 2021-10-30 |
Last Update Date | 2024-02-06 |